Information Collection

Survey#3 Disadvantaged Business Enterprise (DBE) Status Verification

IC 237102 under ICR 202107-2130-003 · OMB 2130-0631.

Documents and Forms

Document Name Document Type
Form FRA F 6180.174 Survey#3 Disadvantaged Business Enterprise (DBE) Status Verification Form
FRA F 6180.174 Survey#3 Disadvantaged Business Enterprise (DBE) Status Form FRA F 6180.174.doc Form
FRA F 6180.174 Survey#3 Disadvantaged Business Enterprise (DBE) Status Form FRA F 6180.174.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey#3 Disadvantaged Business Enterprise (DBE) Status Verification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FRA F 6180.174	Survey#3 Disadvantaged Business Enterprise (DBE) Status Verification	Form FRA F 6180.174.doc		Yes	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,250	4,250
Annual IC Time Burden (Hours)	213	213
Annual IC Cost Burden (Dollars)	12,251	12,251

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.